Wells Fargo Financial (9)
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Town of Wappinger
20 MIDDLEBUSH ROAD
WAPPINGER FALLS, NY 12590
PURCHASE ORDER & VOUCHER
Department:
CLAIMANT'S
NAMEAND
ADDRESS
Wells Fargo Financial
P.O. Box 6434
Carol Stream, IL 60197-6434
Due on Receipt
TERMS
Purchase
Order No.
~3q
DO NOT WRITE IN THIS BOX
Date Voucher Received
FUND - APPROPRIATION AMOUNT
I <-fT(!J.~V I
TOTAL $0 00
ABSTRACT NO. I
VENDOR'S
REFNO.
DATES INV# Quantity DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
06/10/2011 1 Sharp Copier Model MX-550N $369 50 $369 50
Period Covered OS/28/2011-06/28/2011 $0 00
TOTAL $369.50
John C. Masterson 369 50
I. certify thel the above account in the amount of $ .
is true and correct; that the items, services, and disbursements charged were rendered to or for the municipality on the dates staled; that no part has been paid or satisfied; that taxes, from which the
:/:~/::~~'.~'OO"~'M""_."_'" .~ C~ Town Clm
DATE
(SPACE BELOW FOR MUNICIPAL USE)
SIGNATURE
TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered or
furnished to the municipality on the dates stated and the
charges are correct
DATE
AUTHORIZED OFFICIAL
APPROVAL FOR PAYMENT
This claim is approved paid from the appropriations indicated above
DATE
COMPTROLLER
/
.
Customer Service
Hours of Operation
M - F, 7am - 6pm Central Time
Fax
888-241-4382
Telephone
888-554-8564
Correspondence
Leasing Customer Service
MAC F4031-050
800 Walnut Street
Des Moines, IA 50309-3605
TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS. NY 12590-4004
Payments
Wells Fargo Financial Leasing
P. O. Box 6434
Carol Stream, IL 60197 -6434
Federal Tax ID#
42-1074725
Please have your Federal Tax ID available when contacting us.
DESCRIPTION
SHARP COPIER
SUBTOTAL
MODEL MX-M550N
SIN 85002037
MODEL MX-M620N
SIN 95002763
TOTAL
SHARP COPIER
CURRENT CHARGES
LEASE PAYMENT
743.09
743.09
CURRENT CHARGES SUBTOTAL
TOTAL
743.09
INVOICE
Page 1 of 1
Summary
006-0026084
6755428260
06/28/11
06/01111
OS/28/11 - 06/28/11
Account Number
Invoice Number
Due Date
Invoice Date
Current Period
Covered
LAST PAYMENT $743.09 POSTED ON
05/16/11.
Current Charges
TOTAL DUE
PO NUMBER 20110395
743.09
743.09
WFF001 NCD2T6 WFF00101.RTP 00000779 I 00000806
Detach and return the bottom remittance portion with your payment in the enclosed envelope. Include account number on check.
---------------------------------------------------------------------------------------------------
.
743.09
Account Number
Invoice Date
Invoice Number
PAYMENT DUE BY
006-0026084 Current Charges
06/01/11
6755428260
06/28/11 TOTAL DUE
WELLS FARGO FINANCIAL LEASING
P. O. BOX 6434
CAROL STREAM IL 60197-6434
o Check here and see reverse side for billing address
and/or asset address change.
Amount
Enclosed
743.09
.
Please make check payable toWELLS FARGO FINANCIAL LEASING
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P. O. BOX 6434
CAROL STREAM, IL 60197-6434
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TOWN OF WAPPINGER
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS, NY 12590-4004
230013022906
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